Active NPI
Jay Patel, DDS, MPH
- Periodontics
- Southaven, MS
National Provider Identifier
1215530274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- PER-6024
- Practice address
- 7135 Getwell Rd Ste 100
Southaven, MS 38672-9659 - Phone
- (662) 655-4868
- NPI assigned
- Nov 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | PER-6024 | MS | Primary |
Addresses
Primary practice location
7135 Getwell Rd Ste 100
Southaven, MS 38672-9659
Mailing address
7135 Getwell Rd Ste 100
Southaven, MS 38672-9659
Phone (662) 655-4868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PER-6024 | MS | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1215530274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7135 GETWELL RD STE 100",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386729659",
"telephone_number": "662-655-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7135 GETWELL RD STE 100",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386729659",
"telephone_number": "662-655-4868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAY",
"credential": "DDS, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-20",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MS",
"license": "PER-6024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.